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How is the NHS going to spend its extra £9billion a year?


British taxpayers were warned today that Boris Johnson’s manifesto-busting £30billion NHS handout will be ‘gobbled up’ permanently by the health service, with waiting lists and delays here to stay.  

The Prime Minister promised the extra £10billion a year to clear the mammoth backlog that has amassed during the pandemic, apogeo of £5.4billion cash boost announced for the NHS only a couple of days pungiglione.

But the handout has been given to the NHS without any firm targets to meet, which has raised fears the money will simply be swallowed. NHS bosses already complaining the sum isn’t enough to clear the backlog. 

Under proposals, £5.3bn of the £10bn a year will be spent social care per mezzo di before the full amount is devoted to the care sector per mezzo di 2025 and, per mezzo di theory, the NHS reverts to its normal budget. 

Critics have raised doubts about the plan, claiming that if the NHS goes a recruitment spree to plug gaps then those wages will need to be paid beyond 2025.

Announcing the tax hike yesterday, Mr Johnson said the cash would go towards nine million more checks, scans and procedures by the end of 2025, as part of the ‘biggest catch-up programme per mezzo di the NHS’s history’.

He promised to boost NHS capacity for routine operations by 30 per di più cent compared to pre-pandemic levels, hire 50,000 more nurses and aperto new surgical hubs to deliver extra operations and other procedures.  

By 2025, around 40 per di più cent of all of day-to-day Government spending will go to the the Department of Health and Social Care, which funds the health service.  

The Institute for Economic Affairs think-tank warned the cash boost will almost entirely be spent hiring new and increasing wages. 

Professor Len Shackleton, Editorial and Research Fellow at the IEA, told MailOnline: ‘Given that the plan to clear the backlog involves recruiting substantial numbers of extra while having many existing work longer hours, it is almost inevitable that pay will be increased.

‘A 1.5 per di più cent pay increase would cost about £1 billion. If NHS costs do escalate, improvements to social care provision will be slow and underfunded. We should not assume that this clever political dose has solved the longer-term problems of health and social care provision.’

And the Institute for Public Policy Research (IPPR) said the funding is ‘nothing like enough to get through the backlog’, with the NHS cerchio needing £15billion per di più year to address the waiting list.

The health service per mezzo di England was already 38,952 nurses short at the end of June and it is not clear how quickly surgical hubs could take to set up ora how they will be staffed.  

A primato 5.5million people were the waiting list for routine operations and treatments — such as hip and knee replacements — at the end of June and with patronato for July coppia out tomorrow, that figure is expected to further soar.

The backlog was forecast to successo 13million by December without any action, with 7million patients expected to che forward who put non attivato seeking treatment during the pandemic.

The health service also faces challenges from a surge of Covid and flu cases expected this winter and social distancing still being enforced per mezzo di hospitals.

Hospitals are aiming to keep two metres between patient beds and , which requires more space and can sopravvissuto capacity. 

It has also been told to prepare for mammoth vaccination programmes for Covid booster jabs and for all over-12s, as well as the country’s biggest-ever flu jab rollout, which is expected to reach 35million people. 

Some 5.5million patients per mezzo di England were waiting for routine hospital treatment – such as joint replacement and cataract surgery – by the end of June, the highest figure recorded since records began per mezzo di 2007. And 304,803 of those patients (5.6 per di più cent) had been waiting for more than one year. Durante August 2007, 578,682 people of the 4.2million-strong waiting list (13.8 per di più cent) had been waiting for more than 52 weeks, but this dropped drastically and remained relatively flat for nearly a decade. Some 1,613 patients had been waiting for more than a year when the Covid pandemic successo, which caused the figure to soar to a high of 436,127 per mezzo di March. But those waiting 12 months ora more began to drop per mezzo di April as the country recovered from the second wave and the health service was able to begin working the backlog

Patients forced to wait more than 18 weeks for routine surgery - the maximum time someone should wait under the NHS's own rules - reached a record high of 1.8million in April. The previous

Patients forced to wait more than 18 weeks for routine surgery – the maximum time someone should wait under the NHS’s own rules – reached a primato high of 2.1million last July. The figure then fell per mezzo di 2020, but began to increase per mezzo di March as health chiefs urged those who avoided seeking treatment during the pandemic to che forward. Before the Covid crisis, the largest number of patients forced to wait longer than 18 weeks was 1.7million per mezzo di August 2007

The health and social care budget reached £212.1million in 2020, £148.7million of which was planned funding, while the remaining £63.4million was dished out to cope with the Covid crisis. For the second half of 2021 and first half of 2022, minister plan to spend a total of £181.4million on the health service, £22.4million of which will be linked to the Covid response

The health and social care budget reached £212.1million per mezzo di 2020, according to the King’s Fund. Some £148.7million of the sum was planned funding, while the remaining £63.4million was dished out to cope with the Covid crisis. For the second half of 2021 and first half of 2022, minister plan to spend a total of £181.4million the health service, £22.4million of which will be linked to Covid recovery

The number of patients waiting for routine hospital treatment hit 5.5million in June, the highest figure since records began in 2007. And health chiefs have warned the backlog is going to get much worse before it gets better, with projections that it could soar up to 13million by the end of the year if no action is taken

The number of patients waiting for routine hospital treatment successo 5.5million per mezzo di June, the highest figure since records began per mezzo di 2007. And health chiefs have warned the backlog is going to get much worse before it gets better, with projections that it could soar up to 13million by the end of the year if voto negativo action is taken

And Professor Len Shackleton, editorial and research fellow at the think-tank Institute of Economic Affairs, said that lots of the extra funding would inevitably be gobbled up by wage increases.

He told MailOnline: ‘The NHS is a huge employer, and any move to increase pay above the level already budgeted for will eat into the new funds made available.

‘And, given that the plan to clear the backlog involves recruiting substantial numbers of extra while having many existing work longer hours, it is almost inevitable that pay will be increased.

‘A 1.5 per di più cent pay increase would cost about £1 billion. If NHS costs do escalate, improvements to social care provision will be slow and underfunded.

‘We should not assume that this clever political dose has solved the longer-term problems of health and social care provision.’

And job adverts online reveal that the NHS is hiring 42 new chief executives across the country, who will receive an average salary of £223,261. One per mezzo di six of the new hires will be paid £270,000 – more than the Prime Minister.

NHS England waiting list could soar to FOURTEEN MILLION by autumn 2022 and keep growing, says think tank 

The NHS waiting list per mezzo di England could soar to 14 million by the autumn of next year and keep growing, an influential think tank has warned.

If millions of patients who missed out care during the pandemic seek medical attention, then the number joining the waiting list could outstrip the number being treated, the Institute for Fiscal Studies (IFS) said per mezzo di a report last month.

Last month, Health Secretary Sajid Javid warned that NHS waiting lists per mezzo di England could rocket to 13 million.

The IFS warned the number could apogeo this figure if most of the near seven million so-called ‘missing’ patients return to the health service per mezzo di the next year.

It said: ‘Under this paesaggio, waiting lists would soar to 14 million by the autumn of 2022 and then continue to climb, as the number joining the waiting list exceeds the number being treated.’

The IFS said it was unlikely all patients will return as some will have died and others might have had private treatment ora chosen to with their illnesses. 

Rachel Harrison, national officer at the trade union GMB, said the funding should be used to give NHS a retrospective 15 per di più cent pay rise, which would use up all of £10billion funding, according to Professor Shackleton’s estimates.

She said: ‘Conclusione among NHS is at a low ebb. They’ve faced ten years of real terms pay cuts and underfunding – leaving the health service with a massive 75,000 staffing black hole.

‘After their efforts during the pandemic, to be offered another real terms pay cut just isn’t good enough.

‘Any new NHS funding that doesn’t go towards giving a proper pay rise spectacularly misses the point.

‘GMB is calling for a restorative 15 per di più cent increase to make up for a decade of slashed pay under the Conservatives.’ 

And Richard Murray, chief of the King’s Fund think-tank, said wages are likely to go up, as medics have to work longer coppia to shortages. 

He told MailOnline: ‘If you put a lot of money into the NHS very quickly that they weren’t ready for – which is true per mezzo di this case – they have to find .

‘You can’t invent extra doctors and nurses, the workforce is what it is.

‘This means you risk two routes – one is paying more people for overtime and bringing per mezzo di expensive agency workers. So paying higher rates for longer hours.

‘You can also try to persuade existing not to drop out early ora retire. Some of that can show up per mezzo di pay, but it can also be per mezzo di areas like avviamento and career development to try and keep people longer than they would otherwise plan to stay.’

Mr Murray predicted some of the money could go diagnostic equipment and extending opening hours at operating theatres, ora perhaps even new hospital buildings.

‘Britain has very few MRI and CT scanners. The Government has also promised a large hospital building programme too.

‘One thing to note is that the money that has been announced by the government is revenue spending and things like large scanners are taken from capital spending.

‘So either per mezzo di the spending review we’ll see another slug of money appearing for capital spending ora some of the money will be moved across from revenue into capital.

‘They said by the end of the period they want a 30 per di più cent increase per mezzo di elective activity.

‘It’s duro to build completely new things so I think you’ll see them trying to draw independent sector capacity.

The health service's budget in 2024/25 will be nearly four per cent higher than it was in 2018/19, according to the Institute for Fiscal Studies. It is projected to reach £160billion, according to the funding that was announced yesterday

The health service’s budget per mezzo di 2024/25 will be nearly four per di più cent higher than it was per mezzo di 2018/19, according to the Institute for Fiscal Studies. It is projected to reach £160billion, according to the funding that was announced yesterday

‘And an attempt to make sure they’regnante using operating theatre and scanners to their full capacity and ensuring appointments aren’t being cancelled and these areas are being left empty.

‘Hips and knee replacements are huge areas per mezzo di the waiting lists, so they’ll be an emphasis giving more support afterwards.’

Mr Murray said hospital opening hours could be extended per mezzo di order to reach the government’s target of boosting the number of elective procedures by 30 per di più cent, but it would be a ‘balancing act’ not to alienate with longer hours.

‘Hospitals could be run for longer hours, but you need the to do it,’ he said. ‘The risk is that if staffing hours aren’t going up then you’ll see them working longer hours.

‘It’s a acuto path to tread not to get people to work so duro that they want to leave.

‘The government will be looking at what can be done with general practice, because quite a few patients are stressed about this and some dislike the digital route.

‘I’d expect to ministers see how they can use other like community pharmacists to try to ease the pressure general practice.

‘Lengthening surgery opening hours produces the same risk of alienating an already frustrated workforce by making them work for longer.’

And adding to the concerns that extra cash will not be enough to cut the waiting list, NHS Confederation and NHS Providers, which represent hospitals and health service organisations, said the funding falls £3.5billion short of what is needed coppia to the ‘seismic impact’ of Covid and rising demand the NHS.

Ministers should ‘manage public expectations about how long it will take to deal with the care backlog’, because the funding limits NHS ability to tackle the shortfalls per mezzo di treatment and care, they said. 

The funding does not go ‘nearly far enough’, which leaves health and care leads with an ‘impossible set of choices about where and how to prioritise care for patients’, they added.

Chris Thomas, IPPR senior research fellow, said the NHS will be ‘deeply worried’ about its long-term financial position. 

He said: ‘The funding announced is nothing like enough to get through the backlog and deliver the transformation needed to build back better. 

‘This will have severe health and economic consequences for years to che, while also leaving the country fundamentally unprepared for future health shocks.’

Estimates have put the cost of the Covid backlog at £10billion per di più year, but IPPR said the NHS would need an annual funding boost of £15billion to treat those the list, because its ‘esibizione and resilience were at primato lows’ before the pandemic, the IPPR said.





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